The patient in this case had a several level lumbar fusion - from T7-S1. The surgeon didn't believe he was shifted but if you see the video from here http://www.themanualtherapist.com/201... - you can clearly see his shift in standing is quite apparent.

The patient in the video had several level spinal fusion from T7-S1. He had several years of being able to golf and return to function and running. However, he noticed continued lumbar lateral shift to the right. His lumbar spine and left LE is still Sx free, however it has atrophied significantly and in the past year, he has found it difficult to load. His balance is affected and he now needs a cane to walk. He is a PT and is also going to several PTs for gait and general strengthening/conditioning.

This year I have walked through some incredible National Parks including Zion, Kolob Canyon and Yosemite. Walking allows for a lot of time for reflection and something that came to mind a lot was how amazing it is that we can walk so effortlessly. I think the ease of walking is something we take for granted until our lives become so limited by not being able to walk anymore.

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If it had feet, I was going to put an orthotic under that foot.

Join Dr. Ivo Waerlop of Rehab Chalk Talk and The Gait Guys in this story about trying to improve the last 20% of all patients who are not responding. Make sure to check out Dr. Ivo’s sites, his own Gait Guys podcast and his great Dry Needling courses and videos on Rehab Chalk Talk!

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Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at edgemobilitysystem.com .  Be sure to also connect with Dr. Erson Religioso at Modern Manual Therapy and Jason Shane at Shane Physiotherapy.

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Keeping it Eclectic...

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Last week I mentored an EIM Fellow in Training in his clinic. One of the cases was a young woman status post right tibial fracture and repair.

If you read The OMPT Daily or any or my previous Quick Links, you'll know I am a fan of The Gait Guys. Occasionally in their posts, I get a bit lost due to shoe fit terminology, and the methods of shoe fit pertaining
to running injuries or general LQ issues.